保护动机理论护理干预在胸腰椎爆裂型骨折患者术后康复中的应用  

Application of protection motivation theory nursing in postoperative rehabilitation of patients with thoracolumbar burst fracture

作　　者：诸葛婷 刘振华 ZHUGE Ting;LIU Zhen-hua(Department of Surgery,Shangrao Fifth People′s Hospital,Jiangxi Province,Shangrao 334000,China;Department of Imaging,Shangrao People′s Hospital,Jiangxi Province,Shangrao 334000,China)

机构地区：[1]江西省上饶市第五人民医院外科,江西上饶334000 [2]江西省上饶市人民医院影像科,江西上饶334000

出　　处：《中国当代医药》2020年第12期215-217,共3页China Modern Medicine

基　　金：江西省上饶市科技指导计划一般项目(20162CZD03)。

摘　　要：目的探讨保护动机理论(PMT)护理干预在胸腰椎爆裂型骨折患者术后康复中的应用。方法选取2016年1月~2019年3月上饶市第五人民医院收治的60例接受胸腰椎爆裂型骨折治疗的患者作为研究对象,按照随机数字表法分为观察组(n=30)和对照组(n=30)。对照组给予常规护理,观察组在对照组基础上加用PMT护理干预。比较两组脊髓损伤程度、自我管理能力、腰背部疼痛程度。结果观察组干预后1、3个月脊髓损伤(Frankel)评分高于对照组,差异有统计学意义(P<0.05);观察组干预后3个月日常生活管理、信息管理、情绪管理、症状管理、自我效能管理评分高于对照组,差异有统计学意义(P<0.05);观察组干预后1、3个月腰背部疼痛数字模拟量表(VAS)评分低于对照组,差异有统计学意义(P<0.05)。结论在胸腰椎爆裂型骨折患者术后康复中,使用PMT护理干预可促进患者损伤脊髓恢复,提升自我管理能力,降低VAS评分。Objective To explore application of protection motivation theory(PMT)nursing in postoperative rehabilitation of patients with thoracolumbar burst fractures.Methods A total of 60 patients who underwent thoracolumbar burst fracture treatment in Shangrao Fifth People′s Hospital from January 2016 to March 2019 were selected as study objects.According to random number table method,they were divided into observation group(n=30)and control group(n=30).The control group was given routine nursing.On this basis,observation group was additionally given PMT for nursing intervention.The degree of spinal cord injury,self-management ability,and degree of low back pain were compared between the two groups.Results At 1 and 3 months after intervention,scores of spinal cord injury(Frankel)in observation group were higher than those in control group,the differences were statistically significant(P<0.05).At 3 months after intervention,scores of daily life management,information management,emotion management,symptom management and self-efficacy management in observation group were higher than those in control group,the differences were statistically significant(P<0.05).At 1 and 3 months after intervention,scores of visual analogue scale(VAS)in observation group were lower than those in control group,the difference was statistically significant(P<0.05).Conclusion The application of PMT in postoperative rehabilitation of thoracolumbar burst fracture patients for nursing intervention can promote recovery of injured spinal cord,improve self-management ability,and decrease VAS score.

关 键 词：保护动机理论 胸腰椎爆裂型骨折 康复 应用 

分 类 号：R473.6[医药卫生—护理学]